The Basics

The Series 3000 Claims Administration System enables you to implement a customized claims administration system.

Combine your business rules with our industry best practices to scale the claims administration system as you grow.

Cloud based software makes startup easy. Our professional services get you going quick. Back office services support your growth.

Research and development is paramount in a constantly changing world. That’s why each year we exhibit at several industry trade shows. Not only does this allow us to stay current on the latest software and hardware technology, but it also allows us to foster new vendor relationships and keep up to date on industry changes and updates. Keep an eye on our blog for more information soon to come on upcoming trade shows we will be attending and industry news.

We pride ourselves on 99% percent up time. We upgrade our communications and IBM hardware every two or three years, and maintain System Critical Support with all of our vendors. Additionally, we have a Disaster Recovery Hot Site with a 12 hour restore time in the event of natural disaster. Basically, we’ve got you covered.

Features

MANAGE CLIENTS BY BLOCK, GROUP OR DIVISION, RIGHT DOWN TO THE EMPLOYEE LEVEL.

The Block level identifies the business entity and allows for the separation of individual TPA services such as Consolidated Invoicing or Flex Administration. The Group, Division, and Employee are further breakdowns of this main business entity, allowing you greater flexibility in organizing data and the ease of various search capabilities, as well as the ability to further customize reports.

ADD, DELETE OR MODIFY EMPLOYEE INFORMATION IN REAL-TIME.

When a change is made to an employee record or employees are added or removed, the updated information is available immediately.

PRINT ID CARDS

Whether it be for a new employee, dependent, or an entire Group or Division, Hi-Tech Health can help with your ID card needs. In addition, ID cards may be fully customized, allowing you to extend the reach of your brand.

CONVERT AND PAY CLAIMS IN VARIOUS CURRENCIES

Our Currency Exchange Calculator feature allows you to quickly covert one currency to another and also view exchange currency rates. The Series 3000 Claims Administration System currently accounts for 173 different currency types, and more can be added upon the user’s request.

LOAD BENEFITS WITHOUT LIMITATION

The Series 3000 also makes it possible for you to copy benefits from one Block/Group to another, saving time and decreasing the likelihood of human error by eliminating unnecessary keystrokes. Once the benefits are the system, dates, deductibles, benefit codes, co pays, ID card information, and so much more can be maintained in real-time.

SCAN, UPLOAD ELECTRONICALLY OR MANUALLY ENTER CLAIMS

These three easy processes allow you to manage your claims load the most efficient way possible for you and your staff.

AUTO-ADJUDICATE CLAIMS BASED ON PRESET SYSTEM VARIABLES

This method not only increases speed and accuracy, but also reduces costs that would normally be allocated toward manual claims processing.

PERFORM ONE SCREEN CLAIMS PROCESSING

All you need to fully process claims is a single screen. Related claim information such as notes, claim history, currency exchange, and more are conveniently located here via command keys.

CHECK CLAIMS STATUS IN REAL-TIME

Employees, employers, and providers may securely check claim status 24 hours a day and receive real-time data through a secure web portal, mobile application, or a toll free automated phone system.

CONVERT AND PAY CLAIMS IN VARIOUS CURRENCIES

Our Currency Exchange Calculator feature allows you to quickly covert one currency to another and also view exchange currency rates. The Series 3000 Claims Administration System currently accounts for 173 different currency types, and more can be added upon the user’s request.

SETUP AND ADMINISTER ACH DEPOSITS AND DISBURSEMENTS

Once set up–like the majority of processes within the system–these may be automated. Ultimately, you define how much automation best fits your company’s unique needs, but the benefits of time and cost saved are tremendous.

PRINT ONLINE LETTERS, EOB’S, AND CLAIM CHECKS IN-HOUSE OR VIA OUTSOURCING TO A BACK OFFICE PRINT SHOP

Not only do you have the flexibility choose where these documents are printed, but you may also customize them with personalized logos and headings to further extend your brand.

ELECTRONICALLY OR MANUALLY RECONCILE MONTHLY CLAIM CHECKS

Monthly claim check reconciliation is simple with online transfers via the internet or BBS of all processed claim checks from most major banks directly into our system.

SETUP AND ADMINISTER FSA’S, HSA’S AND HRA’S

The Series 3000 makes it quick and straightforward for you or your employer to maintain your FSA, HSA, or HRA account. There are also a variety of options and reports for tasks such as: entering employee contributions, printing contribution edit lists, quarterly statements/reports, printing initial enrollment and extension letters, and more.

COMPLETE COBRA ADMINISTRATION

Users may print or remove COBRA coupons, print COBRA letters, post and un-post COBRA cash receipts, check COBRA status, send initial letters of notification, run various COBRA related reports, and much more.

GENERATE REPORTS ON DEMAND

Generate reports manually for a one time situation or set up reports to generate automatically at regular intervals (monthly reports for example).

ACCESS 24-HOUR REAL-TIME PHONE ELIGIBILITY & FAX ON DEMAND

One call to our Automated Voice Attendant is all it takes to check an employee’s eligibility, claim status, deductible information and more. During the same phone call, you can even choose to have a copy of benefit information faxed directly to them.